Individual provider · Type 1 NPI
Mary L. Marshall, APN
Nurse Practitioner · Rockford, IL
Practice location
1340 Charles St, Suite 300
Rockford, IL 61104-2200
Mailing address
PO Box 1567
Rockford, IL 61110-0067
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 041343459 (IL) |
| Nurse Practitioner Primary | 363L00000X | 209-014991 (IL) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1770030801
Mary L. Marshall, APN's National Provider Identifier is 1770030801, issued on Sep 7, 2016. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Rockford, IL. The record was last updated on Oct 21, 2016.